Organization · NPI-2

Allied Physicians INC., D/B/A Fort Wayne Neurosurgery

Neurological Surgery · Fort Wayne, IN

NPI number1255322103
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1255322103
Entity type
Organization (NPI-2)
Legal business name
Allied Physicians INC., D/B/A Fort Wayne Neurosurgery
Organization subpart
No
Enumeration date
Oct 31, 2005
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207T00000X Neurological Surgery––Yes

Practice location

2622 Lake Ave
Fort Wayne, IN 46805-5410

Phone 260-460-3100

Mailing address

2622 Lake Ave
Fort Wayne, IN 46805-5410

Phone 260-460-3100

Authorized official

Stephen R Smith
Ceo/Treasurer
2604362416

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